Missing Pain Syndrome - Causes, Diagnosis and Complications

Although at first it seems to be a twin pregnancy, during pregnancy, one of the twins ceases to develop and disappears. It is what is medically named the missing twin syndrome. Causes Causes of missing twin syndrome are not yet fully known. Statistics say the phenomenon happens more often when it comes to chromosomal abnormalities - diploids, triploids. And last but not least, vicious cord implantation and older than 30 years of age (when multiple pregnancies occur) are two possible causes of this syndrome. Symptoms and Diagnosis of Syndrome Diagnosis is performed with a routine ultrasound during pregnancy monitoring.

If at the first visit to a doctor around the age of 6-7 weeks the doctor finds a pregnancy pregnancy, at the next consultation, he / she can see the heartbeats of a single fetus, in which case the ultrasound is also recommended to certify the missing twin syndrome. In most cases, the pregnant woman does not know when a fetus disappears unless she goes to a doctor. But there are situations when the pregnant woman may have the symptoms of a miscarriage: • abdominal cramps • pelvic pain • vaginal bleeding Diagnosis of the missing twin syndrome is generally done by laboratory and imaging. Thus, on the basis of a blood test, atypical values ​​for alpha-fetoprotein, corionic human gonadotrophin, plasma protein A associated with pregnancy and free beta-HcG. The ultrasound, amniocentesis and biopsy of the Chorion villas are part of the imaging studies used to diagnose this syndrome.

Complications of missing twin syndrome Complications of this syndrome depend on the age of pregnancy. Thus, if the twin disappearance occurs at the beginning of the first trimester, the complication rate is low. Surviving geaman is not affected, and the mother may experience moderate bleeding and pelvic pain. If the twin extinction occurs at any other time in the pregnancy, the risk of complications, both in the mother and the remaining fetus, increases and can be represented by: premature birth severe puerperal haemorrhage coagulopathy (excessive bleeding and ecchymosis) infections and septic syndrome aplasia . However, if the presence of the papyrus fetus (dead fetus, flattened by the pressure exerted by the surviving geaman) is established, it is necessary to monitor the pregnancy to monitor the health of the living fetus.

In this case, a series of regular blood tests are required to monitor maternal biochemical parameters to detect a possible infection or excessive bleeding. If none of the girls are found to be viable, curettage is required. .